鐩搁棞(gu膩n)鎺ㄨ枽锛�2019骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯竴骞村叐瑭︾浜岃│鑰冨墠娌栧埡妯℃摤绶寸繏(x铆)椤岄搴�(k霉)

2019骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯浜屾绛嗚│灏囦簬11鏈�23鏃ャ€�24鏃ュ叐澶╅枊鑰�锛屾彁閱掕€冪敓鏈嬪弸鍊戞姄绶婃檪(sh铆)闁撳京(f霉)缈�(x铆)锛屽苟鍦ㄨ€冨墠鎸夋檪(sh铆)鎵撳嵃浜岃│婧�(zh菙n)鑰冭瓑銆傚弮鍔犱簩瑭︾殑鑰冪敓鏈嬪弸鍊戝彲浠ラ€氶亷 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�渚嗙嵅鐭�2019骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯浜屾绛嗚│婧�(zh菙n)鑰冭瓑鎵撳嵃鏅�(sh铆)闁撲互鍙婃垚绺�(j墨)鏌ヨ鏅�(sh铆)闁擄紒

涓€銆丄1

1銆佸皪(du矛)鍘熺櫦(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧ョ殑瑷烘柗鏈€鏈夋剰缇╃殑琛€妾㈢祼(ji茅)鏋滄槸

A銆侀啗鍥洪叜

B銆佽绯栦笅闄�

C銆佽閳変笅闄�

D銆佺毊璩�(zh矛)閱囦笅闄�

E銆丄CTH涓嬮檷

2銆丄ddison鐥呮噳(y墨ng)鐢ㄨ厧涓婅吅鐨唱(zh矛)婵€绱犳浛浠ｆ不鐧�锛屾纰虹殑鏄�

A銆佹噳(y墨ng)绲傜敓浣跨敤婵€绱犳浛浠ｆ不鐧�

B銆佸姂閲忎竴鏃︾⒑瀹氾紝鍓囩祩鐢熶笉璁�

C銆佸彧鏈夌暥(d膩ng)鎰熸煋銆佸壍(chu脿ng)鍌风瓑鎳�(y墨ng)婵€鎯呮硜鏅�(sh铆)鎵嶆噳(y墨ng)鐢�

D銆佺郸钘ラ€斿緫浠ヨ倢娉ㄧ偤涓�

E銆佸悎骞剁祼(ji茅)鏍告檪(sh铆)绂佺敤

3銆佸師鐧�(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧ュ吀鍨嬮珨寰佹槸

A銆佺毊鑶氱传绱�

B銆佽紩搴﹁偉鑳�

C銆佺毊鑶氱矘鑶滆壊绱犳矇钁�

D銆佺毊鑶氬姹楀強浣庣啽

E銆佽剤鐜囧蹇�

4銆丄ddison鐥呮偅鑰呮瘡澶╅楣芥敐鍏ラ噺涓嶅緱灏戜簬

A銆�50g

B銆�40g

C銆�20锝�30g

D銆�30锝�40g

E銆�8锝�10g

5銆佸湪涓湅(gu贸)锛孉ddison鐥呮渶甯歌鐨勭梾鍥犳槸

A銆佽厧涓婅吅绲�(ji茅)鏍�

B銆佺壒鐧�(f膩)鎬ц厧涓婅吅钀庣府

C銆佹儭鎬ц叓鐦よ綁(zhu菐n)绉�

D銆佺櫧琛€鐥呮蹈娼�(r霉n)

E銆佹穩绮夋ǎ璁�

6銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧ユ偅鑰呭嚭鐝�(xi脿n)鑲岀劇鍔涚殑鍘熷洜鏄�

A銆佹寔绾�(x霉)鎬ч珮琛€澹�

B銆佽閳夋酱鐣欓亷澶�

C銆佹寔绾�(x霉)灏块噺閬庡

D銆佸翱閴€鎺掑嚭澧炲

E銆佽閴€婵冨害闄嶄綆

7銆侀珮琛€澹撲即浣庤閴€鎮ｈ€�锛屽叾鐥呭洜鎳�(y墨ng)棣栧厛鑰冩叜

A銆佹參鎬ц厧鐐�

B銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

C銆佸棞閴荤窗(x矛)鑳炵槫

D銆佺毊璩�(zh矛)閱囧澶氱櫏

E銆佽厧鍕�(d貌ng)鑴堢嫻绐�

8銆佺毊璩�(zh矛)閱囧澶氱櫏鐗规湁鐨勮嚚搴婅〃鐝�(xi脿n)鏄�

A銆侀珮琛€澹�

B銆佺毊鑶氬姣�

C銆侀璩�(zh矛)鐤忔澗

D銆佸悜蹇冩€ц偉鑳�

E銆佺硸鑰愰噺浣庢笡

9銆佺毊璩�(zh矛)閱囧澶氱櫏鏈€甯歌鐨勭梾鍥�?y脿n)?/p>

A銆佽厧涓婅吅鐨唱(zh矛)鑵虹槫

B銆侀洐鑵庝笂鑵虹毊璩�(zh矛)澧炵敓

C銆佽厧涓婅吅鐨唱(zh矛)鑵虹檶

D銆佺暟浣岮CTH缍滃悎寰�

E銆侀啱(y墨)婧愭€х硸鐨唱(zh矛)婵€绱犻亷澶�

10銆佽厧涓婅吅婵€绱犵敓鐞嗕綔鐢ㄦ弿杩伴尟(cu貌)瑾ょ殑鏄�

A銆佺毊璩�(zh矛)婵€绱犲彲浠ヤ績閫�(j矛n)鑴傝偑鍒嗚В

B銆佺毊璩�(zh矛)婵€绱犲彲浠ュ崌楂樿绯�

C銆侀啗鍥洪叜淇濋垑鎺掗墍

D銆佸厭鑼堕厷鑳哄鍔犲績鑲屾敹绺拰闋荤巼

E銆佸厭鑼堕厷鑳轰繚閴€鎺掗垑

11銆佷互涓嬫湁闂�(gu膩n)鑵庝笂鑵烘弿杩伴尟(cu貌)瑾ょ殑鏄�

A銆佽厧涓婅吅鐨勮渚涙サ鐐鸿睈瀵�

B銆佽厧涓婅吅鐨勮娴佸湪鐨唱(zh矛)鍜岄珦璩�(zh矛)涓湁涓嶅悓鐨勮(di脿o)绡€(ji茅)

C銆佽厧涓婅吅楂撹唱(zh矛)鎺ュ彈鍓氦鎰熺缍�(j墨ng)绡€(ji茅)鍓嶇簴缍殑鏀厤

D銆佹垚浜虹殑鑵庝笂鑵虹毊璩�(zh矛)绱勫崰鏁村€�(g猫)鑵洪珨鐨�80%

E銆佽厧涓婅吅宸﹀彸鍚勪竴锛屽垎鍒ヤ綅浜庡乏鍙宠厧涓婃柟锛岃剨鏌卞叐鏃佺浉鐣�(d膩ng)浜庣11鑳告鍜岀涓€鑵版鐨勬按骞�

12銆佹湁闂�(gu膩n)鑵庝笂鑵虹毊璩�(zh矛)鎻忚堪閷�(cu貌)瑾ょ殑鏄�

A銆佹垚浜鸿厧涓婅吅鐨唱(zh矛)绱勫崰鏁村€�(g猫)鑵洪珨鐨勭櫨鍒嗕箣浜斿崄

B銆佹牴鎿�(j霉)绱�(x矛)鑳炴帓鍒楀垎鐐虹悆鐙€甯躲€佹潫鐙€甯跺拰缍�(w菐ng)鐙€甯�

C銆佺悆鐙€甯跺儏鐢�(ch菐n)鐢熼啗鍥洪叜

D銆佹潫鐙€甯跺彧鍒嗘硨鐨唱(zh矛)閱�

E銆佺恫(w菐ng)鐙€甯跺垎娉岃劔姘暟闆勯叜鍙婂叾纭寲鐗╃偤涓�

13銆佹湁闂�(gu膩n)鑵庝笂鑵鸿В鍓栨弿杩伴尟(cu貌)瑾ょ殑鏄�

A銆佽厧涓婅吅宸﹀彸鍚勪竴

B銆佷綅浜庣11鑳告鍜岀涓€鑵版鐨勬按骞�

C銆佸墠鑵硅啘鍣ㄥ畼

D銆佸瑙€鍛堟榛冭壊

E銆佹甯告垚浜虹殑鑵庝笂鑵洪暦(zh菐ng)(4-6)cm

14銆佸棞閴荤窗(x矛)鑳炵槫鍙敘(ch菐n)鐢熷绋偨椤炴縺绱�锛屽叾涓紩璧烽潰閮ㄦ疆绱呯殑鏄�

A銆丳鐗╄唱(zh矛)

B銆侀磯鐗囪偨

C銆佺敓闀�(zh菐ng)鎶戠礌

D銆佽娓呯礌

E銆佺缍�(j墨ng)鑲結

15銆佷笅鍒楅伕闋�(xi脿ng)涓�锛屼笉绗﹀悎鍡滈壔绱�(x矛)鑳炵槫娑堝寲绯荤当(t菕ng)琛ㄧ従(xi脿n)鐨勬槸

A銆佽澹撳崌楂�

B銆佽喗鐭崇櫏鐧�(f膩)鐥呯巼

C銆佸彲寮曡捣鑶芥眮娼寸暀

D銆佸彲寮曡捣鑵稿嚭琛€

E銆佸彲寮曡捣鑵告摯(ku貌)寮�

16銆佹湁楂樿澹撶殑鍏�(n猫i)鍒嗘硨鐤剧梾涓�锛屽翱鍏掕尪閰氳兒澧炲瑕嬩簬

A銆佺敳鐙€鑵哄姛鑳戒孩閫�(j矛n)鐧�

B銆佸韩(k霉)娆ｇ稖鍚堝緛

C銆佽偄绔偉澶х櫏

D銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

E銆佸棞閴荤窗(x矛)鑳炵槫

17銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧ユ偅鑰呭嚭鐝�(xi脿n)楂樿澹撶殑鍘熷洜鏄�

A銆佽厧鑷熸帓姘存帓閳夋笡灏�

B銆佸翱閴€鎺掑嚭澧炲

C銆佹寔涔呭翱閲忛亷澶�

D銆佽閴€娼寸暀閬庡

E銆佽閴€婵冨害闄嶄綆

浜屻€丄2

1銆佺敺锛�40姝�锛�2骞村墠瑷烘柗鐐哄師鐧�(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧�锛岄暦(zh菐ng)鏈熷彛鏈嶆矮鍖栧彲鐨勬澗(30mg/鏃�)鏇夸唬娌荤檪銆傝繎2澶╃櫦(f膩)鐔�38鈩�锛屽捊鐥涖€傜洰鍓嶆矮鍖栧彲鐨勬澗鐨勬噳(y墨ng)鐢ㄦ柟娉曟槸

A銆佹敼鐢ㄧ瓑鏁堥噺鐨勫湴濉炵背鏉�

B銆佸姂閲忕董鎸佷笉璁�

C銆佸姂閲忔笡灏�1/2

D銆佸洜鏈夋劅鏌撹€屾毇鏅�(sh铆)鍋滅敤

E銆佸姂閲忓鍔犵偤2锝�3鍊�

2銆佸コ锛�45姝�銆傝偄楂旇粺寮辩劇鍔�銆佸灏垮2骞翠綑锛� 浠婃櫒璧烽洐涓嬭偄涓嶈兘娲诲嫊(d貌ng)銆傛煡:琛€澹�170/110mmHg锛屽潎鍕绘€ц紩搴﹁偉鑳�锛岄洐涓嬭偄鏉惧紱鎬х櫛鐦�锛岃閴€2.4mmol/l銆傛渶鍙兘鐨勮ê鏂风偤

A銆佸師鐧�(f膩)鎬ч珮琛€澹�

B銆佸棞閴荤窗(x矛)鑳炵槫

C銆佽厧鎬ч珮琛€澹�

D銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

E銆佸韩(k霉)娆ｇ梾

3銆佹偅鑰�锛岀敺锛�40姝�锛岀櫦(f膩)鐝�(xi脿n)琛€澹撻珮宸茬稉(j墨ng)鏈夊崐骞�锛屾渶楂橀仈(d谩)150/100mmHg锛屼即涔忓姏锛岃倢鐥�锛屽彛娓淬€傚惛鐓�20骞�銆傛熁楂�:琛€澹�170/100mmHg锛岃偉鑳�锛屽績鑷熶笉澶�锛屽績寰嬫暣榻�锛屽績鐜�76娆�/鍒�锛岄洐涓嬭偄涓嶈叓銆傚翱甯歌(gu墨)锛氬翱铔嬬櫧(+)锛屾瘮閲�1.018锛岃閴€3.1mmol/L銆傛渶鍙兘鐨勮ê鏂锋槸

A銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

B銆佸師鐧�(f膩)鎬ч珮琛€澹�

C銆佽厧鎬ч珮琛€澹�

D銆佽厧琛€绠℃€ч珮琛€澹�

E銆佸棞閴荤窗(x矛)鑳炵槫

4銆佸コ鎬�锛�26姝诧紝澶氳璩�(zh矛)澶栬锛屽悜蹇冩€ц偉鑳�锛岀棨鐦★紝涓嬭吂鍙婂ぇ鑵垮鍋�(c猫)瑕嬬传绱�锛岃鐨唱(zh矛)閱囨槑椤崌楂�锛岀偤閫�(j矛n)涓€姝ヨê鏂风梾璁婇儴浣嶏紝鍝爡(xi脿ng)妾㈡煡鏈€鏈夋剰缇�

A銆佸翱7-缇ユ脯(c猫)瀹�

B銆佽ACTH娓�(c猫)瀹�

C銆佸翱娓搁洟鐨唱(zh矛)閱囨脯(c猫)瀹�

D銆佸皬鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

E銆佸瀭楂擟T

5銆佺敺鎬э紝52姝�锛�5骞村墠鍥犲韩(k霉)娆�(Cushing)缍滃悎寰佹帴鍙椾竴鍋�(c猫)鑵庝笂鑵哄叏鍒囷紝鍙︿竴鍋�(c猫)娆″叏鍒�锛屽洜楂樿澹撱€佷綆琛€閴€銆佽偉鑳栧啀娆″氨瑷�锛岃嚚搴婂強瀵�(sh铆)椹�(y脿n)瀹よê鏂风偤搴�(k霉)娆�(Cushing)缍滃悎寰佸京(f霉)鐧�(f膩)锛岀梾浜烘湁鎱㈡€у績琛板彶2骞�锛屾噳(y墨ng)棣栧厛閬告搰鐨勬不鐧傛槸

A銆佸啀娆¤厧涓婅吅鎵嬭(sh霉)

B銆佹斁鐧�

C銆侀叜搴峰攽娌荤檪

D銆佸畨楂旇垝閫氭不鐧�

E銆侀檷澹撴不鐧傝(b菙)閴€

6銆佸コ鎬э紝28姝�锛岃偉鑳栥€侀牠鐥涗即闁夌稉(j墨ng)1骞村崐銆傛煡楂旓細BP 180/110mmHg锛屽悜蹇冩€ц偉鑳�锛屾豢鏈堣噳锛岀毊鑶氳杽锛屾湁鐥ょ槨锛岃吂澹佹湁瀵ぇ绱磱锛屼笅鑲㈣剾鍓嶅彲鍑规€ф按鑵�銆傜偤鏄庣⒑搴�(k霉)娆ｇ稖鍚堝緛锛屾噳(y墨ng)琛屼笅鍒楀摢闋�(xi脿ng)妾㈡煡

A銆佽婕跨毊璩�(zh矛)閱�

B銆佽鐨唱(zh矛)閱囨櫇澶滅瘈(ji茅)寰�

C銆佸翱娓搁洟鐨唱(zh矛)閱�

D銆佸皬鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

E銆佸ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

7銆佸コ锛�39姝层€傝偉鑳�銆侀珮琛€澹�銆侀枆缍�(j墨ng)2骞淬€傛煡楂旓細BP 160/90mmHg锛屽悜蹇冩€ц偉鑳�銆佽噳鍦�銆佸琛€璩�(zh矛)澶栬矊锛岃吂閮ㄥ彲瑕嬪澶х传绱�銆傝绯栵細11.8mmol/l锛岃┎鎮ｈ€呮渶鍙兘鐨勮ê鏂锋槸

A銆佸韩(k霉)娆ｇ稖鍚堝緛

B銆佺硸灏跨梾

C銆佷唬璎濈稖鍚堝緛

D銆佽偉鑳栫櫏

E銆侀珮琛€澹�

8銆佺敺锛�46姝�锛屾湁鑵庝笂鑵虹柧鐥�锛屽幓閱�(y墨)闄㈠挩瑭㈡湁闂�(gu膩n)鐨勭煡璀�(sh铆)锛屼互涓嬭厧涓婅吅瑙ｅ墫鎻忚堪閷�(cu貌)瑾ょ殑鏄�

A銆佽厧涓婅吅宸﹀彸鍚勪竴

B銆佹甯告垚浜虹殑鑵庝笂鑵洪噸6-8g

C銆佸悗鑵硅啘鍣ㄥ畼

D銆佸瑙€鍛堟榛冭壊

E銆佹甯告垚浜虹殑鑵庝笂鑵洪暦(zh菐ng)(4-6)cm

9銆佸コ锛�36姝�銆傜櫦(f膩)浣滄€ц澹撳崌楂�8鍊�(g猫)鏈�锛岀櫦(f膩)浣滄檪(sh铆)琛€澹撶偤210/110mmHg锛屼即闈㈣壊钂肩櫧銆佸ぇ姹�銆佸績鎮�銆傜櫦(f膩)浣滄湡闁撹澹撴甯�銆傛渶鏈夊姪浜庤ê鏂风殑鏄�

A銆佽灪鍏�(n猫i)閰│椹�(y脿n)闄�(y谩ng)鎬�

B銆佸湴濉炵背鏉炬姂鍒惰│椹�(y脿n)闄�(y谩ng)鎬�

C銆侀”鍏�(n猫i)铦堕瀺X绶氭鏌ラ櫧(y谩ng)鎬�

D銆佽澹撳楂樻檪(sh铆)琛€鍜屽翱鍏掕尪閰氳兒鍙婇鑽夊熀鏉忎粊閰告按骞虫槑椤楂�

E銆佽澹撳楂樻檪(sh铆)琛€鍜屽翱17-缇ラ鍥洪唶鍙�17-閰鍥洪唶姘村钩鏄庨’澧為珮

10銆佸コ锛�50姝�锛�3鍊�(g猫)鏈堜締鐧�(f膩)浣滄€ч牠鏆堛€侀牠鐥涗即闈㈣壊钂肩櫧銆佸績鎮搞€佸喎姹�锛屽叡鐧�(f膩)浣�3娆★紝姣忔鎸佺簩(x霉)20鍒嗛悩鍒�2灏忔檪(sh铆)锛岀櫦(f膩)浣滄檪(sh铆)娓�(c猫)琛€澹�180锝�210/110锝�130mmHg锛屽钩鏅�(sh铆)琛€澹撴甯�銆傛熁楂旓細BP 120/90mmHg锛岄珨鍨嬪亸鐦�锛� 鐨啔寰疆锛屽績鐜�90娆�/鍒�锛屽緥榻�锛屽洓鑲㈡湯绔◢娑笺€傝┎鎮ｈ€呴鍏堣€冩叜鐨勮ê鏂锋槸

A銆佸師鐧�(f膩)鎬ч珮琛€澹�

B銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

C銆佸棞閴荤窗(x矛)鑳炵槫

D銆佺敳鐙€鑵哄姛鑳戒孩閫�(j矛n)鐧�

E銆佸湇绲曠稉(j墨ng)鏈熺稖鍚堢櫏

11銆佸コ锛�25姝层€備箯鍔�锛岀毊鑶氳壊绱犳矇钁�3骞翠綑銆傜稉(j墨ng)甯告劅鍐�锛岄娆插樊锛屽伓鐖炬儭蹇�锛屽様鍚�銆傛煡楂旓細P 90娆�/鍒�锛孊P 90/60mmHg锛屽叏韬毊鑶氳純榛戯紝鎺岀磱銆佷钩鏆堣壊娣憋紝榻掗溅銆侀牥榛忚啘涔熷彲瑕嬭壊绱犳矇钁�锛屼綑鏈鐣板父銆傝┎鎮ｈ€呮浛浠ｆ不鐧傛噳(y墨ng)鐢�銆�

A銆佹矮鍖栧彲鐨勬澗

B銆佸湴濉炵背鏉�

C銆佹綉灏兼澗

D銆佺敳娼戝凹鏉�

E銆佹綉灏兼澗榫�

12銆佸コ锛�28姝�銆傛儭蹇�銆佸様鍚�銆佷箯鍔�銆侀牠鏆�1鍛ㄣ€傝繎2鍊�(g猫)鏈堥珨閲嶆笡浣�锛岀毊鑶氳畩榛�銆傛煡楂旓細BP 90/60mmHg锛屽績鐜�84娆�/鍒嗭紝绔嬩綅BP 75/50mmHg锛屽績鐜�99娆�/鍒�锛岃韩楂�169cm锛岄珨閲�50kg锛岀毊鑶氶粦锛岀敳鐙€鑵衡厾搴﹁叓澶с€傚績銆佽偤銆佽吂鏈鐣板父銆傚(sh铆)椹�(y脿n)瀹ゆ鏌�:琛€閳�124mmol/L锛岃閴€5.8mmol/L锛岃绯�3.5mmol/L銆傝┎鎮ｈ€呮渶鍙兘鐨勮ê鏂锋槸

A銆佺敳鐙€鑵哄姛鑳芥笡閫€

B銆佸瀭楂斿崚涓�

C銆佺湡鑿屾劅鏌�

D銆佹參鎬ц厧琛扮

E銆佸師鐧�(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧�

13銆佺敺锛�43姝�锛岃偄楂旇粺寮辩劇鍔�銆佸灏垮2骞翠綑锛屼粖鏅ㄨ捣闆欎笅鑲笉鑳芥椿鍕�(d貌ng)銆傛煡楂旓細琛€澹�170/100mmHg锛屽潎鍕绘€ц紩搴﹁偉鑳�锛岄洐涓嬭偄鏉惧紱鎬х櫛鐦�锛岃閴€2.4 mmol/l锛屾噳(y墨ng)鑰冩叜鐨勮ê鏂锋槸

A銆佸韩(k霉)娆ｇ梾

B銆佸棞閴荤窗(x矛)鑳炵槫

C銆佽厧鎬ч珮琛€澹�

D銆佸師鐧�(f膩)鎬ч啗鍥洪叜澧炲鐧�

E銆佸師鐧�(f膩)鎬ч珮琛€澹�

涓�銆丄3/A4

1銆佸コ鎬э紝35姝�銆傝噳鍦�銆佽噳绱呫€佸悜蹇冩€ц偉鑳�1骞翠綑锛屾偅鑰呮劅鏄庨’涔忓姏鑸囧彛骞层€傝吂閮ㄧ毊鑶氬彲瑕嬬传绱�锛岀毊鑶氳杽銆傝澹�160/80mmHg锛岄枆缍�(j墨ng)1骞�銆�

<1> 銆佸皪(du矛)瀹氭€цê鏂锋渶鏈夊公鍔╃殑瀵�(sh铆)椹�(y脿n)瀹ゆ鏌ユ槸

A銆�24灏忔檪(sh铆)娓搁洟鐨唱(zh矛)閱囨脯(c猫)瀹�

B銆佸ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

C銆佸皬鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

D銆佹棭8榛�(di菐n)琛€鐨唱(zh矛)閱囨娓�(c猫)

E銆佷笅鍗�4榛�(di菐n)鐨唱(zh矛)閱囨按骞虫娓�(c猫)

<2> 銆佸鏋滆┎鎮ｈ€呰鑳搁儴CT妾㈡煡鐧�(f膩)鐝�(xi脿n)宸﹁偤鏈夊崰浣嶆€х梾璁�锛岃€冩叜鐨勫彲鑳借ê鏂锋槸

A銆佸韩(k霉)娆ｇ梾

B銆佺暟浣岮CTH缍滃悎寰�

C銆佽偤閮ㄨ叓鐦�

D銆佽偤閮ㄦ劅鏌�

E銆佽偤绲�(ji茅)鏍�

<3> 銆佽鏄庣⒑宸﹁偤鍗犱綅鎬х梾璁婅垏鏈梾鏄惁鐩搁棞(gu膩n)锛岄渶瑕侀€�(j矛n)琛岀殑妾㈡煡鐐�

A銆佸ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

B銆佽ACTH

C銆侀亷澶滅毊璩�(zh矛)閱囩瘈(ji茅)寰�+鎶戝埗瑭﹂(y脿n)

D銆佺敓闀�(zh菐ng)鎶戠礌椤儚

E銆佽兏閮∕RI

2銆佸コ鎬�锛�35姝� 锛屽洜澶氶锛岃偉鑳栵紝闁夌稉(j墨ng)锛岃绯栭珮灏辫ê锛岄珨妾細韬珮160銕�锛岄珨閲�75kg锛岃吂閮�锛岃噣閮ㄨ剛鑲爢绌�锛岀传绱�(+)锛岃澹擄細170/100mmHg锛岃绯�10.1mmol/L锛屽垵瑷虹毊璩�(zh矛)閱囧澶氱櫏

<1> 銆佷笅杩板摢闋�(xi脿ng)妾㈡煡灏�(du矛)纰鸿ê鏈€鏈夋剰缇�

A銆佽鐨唱(zh矛)閱囩瘈(ji茅)寰嬫脯(c猫)瀹�

B銆佺硸鐨唱(zh矛)婵€绱犳姂鍒惰│椹�(y脿n)

C銆�24灏忔檪(sh铆)灏�17-缇�锛�17-閰脯(c猫)瀹�

D銆佽ACTH娓�(c猫)瀹�

E銆丱GTT

<2> 銆佸缍�(j墨ng)涓婅堪妾㈡煡纰哄畾浜咰ushing缍滃悎寰佸悗锛岀偤閫�(j矛n)涓€姝ョ⒑瀹氭槸鍚︾偤Cushing鐥�锛屼笅杩板摢闋�(xi脿ng)妾㈡煡鏈€鏈夋剰缇�

A銆丆RF鑸堝ギ瑭﹂(y脿n)

B銆佸皬鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

C銆丄CTH鑸堝ギ瑭﹂(y脿n)

D銆佸ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)

E銆佺敳鍚￠叜瑭﹂(y脿n)

<3> 銆佸鍨傞珨CT璀夊(sh铆)闉嶅収(n猫i)鏈夊井鑵虹槫锛屾噳(y墨ng)棣栭伕涓嬭堪鍝ó娌荤檪鏂规

A銆佺稉(j墨ng)椤嶅瀭楂旂槫鍒囬櫎琛�(sh霉)

B銆佺稉(j墨ng)铦跺瀭楂旂槫鍒囬櫎琛�(sh霉)

C銆佸瀭楂旀斁灏勬不鐧�

D銆侀洐鑵庝笂鑵烘鍏ㄥ垏闄よ(sh霉)

E銆佽辰搴氬暥娌荤檪

<4> 銆佺梾浜轰簬鎵嬭(sh霉)鍚庡勾闅ㄨê锛屼笅杩板摢绋儏娉佷笉鏀寔娌荤檪鏈夋晥

A銆佸悜蹇冩€ц偉鑳栨笡杓�

B銆佹湀缍�(j墨ng)鎭㈠京(f霉)

C銆佺┖鑵硅绯�6.8mmol/L

D銆佽澹�150/90mmHg

E銆佽鐨唱(zh矛)閱囨棭8榛�(di菐n)510mmol/L(姝ｅ父165锝�441mmol/L)涓嬪崍4榛�(di菐n)480mmol/L

鍙冭€冪瓟妗堝強绛旀瑙ｆ瀽瑕嬩笅涓€闋�(y猫)

绛旀閮ㄥ垎

涓€銆丄1

1銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 澶氭暩(sh霉)鐥呬汉琛€銆佸翱鐨唱(zh矛)閱囧強灏�17-缇ョ毊璩�(zh矛)椤炲浐閱囨脯(c猫)瀹氫綆浜庢甯革紝涔熷彲鍦ㄦ甯镐綆闄�锛屾晠闇€澶氭娓�(c猫)瀹氥€�

2銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 闃跨媱妫皬鐥呯殑瑷烘柗涓昏渚濋潬琛€灏跨毊璩�(zh矛)閱�銆佽ACTH姘村钩娓�(c猫)瀹氥€傝ê鏂锋槑纰虹殑鎮ｈ€呴渶瑕佽厧涓婅吅鐨唱(zh矛)婵€绱�(鍙殑鏉鹃)绲傜敓鏇夸唬娌荤檪锛岄亣鍒版劅鏌撶瓑鎳�(y墨ng)婵€鐙€娉侀倓闇€瑕佸姞閲�銆�

3銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鍘熺櫦(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧ユ渶鍏风壒寰佽€呯偤鍏ㄨ韩鐨啔鑹茬礌鍔犳繁锛屾毚闇茶檿銆佹懇鎿﹁檿銆佷钩鏆�銆佺槩鐥曠瓑铏曞挨鐐烘槑椤紝绮樿啘鑹茬礌娌夎憲瑕嬩簬榻掗溅锛岃垖閮ㄣ€侀牥绮樿啘绛夎檿銆傛晠鏈绛旀閬告搰C銆�

绻肩櫦(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧ワ細鐒¤壊绱犳矇钁�锛屼笖鐨壊璁婃泛锛岀敋鑷宠捈鐧界劇鑿�锛屾按楣戒唬璎濈磰浜傝純杓曪紝琛€绯栨尝鍕�(d貌ng)澶�锛屼綆琛€绯栧偩鍚戞槑椤€�

4銆�

銆愭纰虹瓟妗堛€� E

銆愮瓟妗堣В鏋愩€� Addison鐥呬富瑕佽〃鐝�(xi脿n)鐐鸿閳夐檷浣庯紝鎵€浠�锛岄楣界殑鏀濆叆閲忔噳(y墨ng)鍏呭垎锛屾瘡鏃ヨ嚦灏�8-10g浠ヨ(b菙)鍏呭け閳夐噺锛屽鏈夊ぇ閲忓嚭姹椼€佽吂鐎夋檪(sh铆)鎳�(y墨ng)閰屽姞椋熼菇鏀濆叆閲�锛屽ぇ閮ㄥ垎鎮ｈ€呭湪鏈嶇敤姘彲鐨勬澗鍜屽厖鍒�?j菒n)z楣戒笅鍗冲彲鐛叉豢鎰忔晥鏋�銆�

5銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 闃跨媱妫皬鐥匒ddison鍙堢ū鍘熺櫦(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)姗�(j墨)鑳芥笡閫€鐧�锛屾湰鐥呮渶甯歌鐨勭梾鍥�?y脿n)妲烮涓婅吅绲�(ji茅)鏍稿拰鑷韩鍏嶇柅鎬ц厧涓婅吅鐐�銆�

6銆�

銆愭纰虹瓟妗堛€� E

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7銆�

銆愭纰虹瓟妗堛€� B

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8銆�

銆愭纰虹瓟妗堛€� D

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9銆�

銆愭纰虹瓟妗堛€� B

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10銆�

銆愭纰虹瓟妗堛€� E

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11銆�

銆愭纰虹瓟妗堛€� C

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12銆�

銆愭纰虹瓟妗堛€� A

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13銆�

銆愭纰虹瓟妗堛€� C

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14銆�

銆愭纰虹瓟妗堛€� A

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15銆�

銆愭纰虹瓟妗堛€� A

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16銆�

銆愭纰虹瓟妗堛€� E

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17銆�

銆愭纰虹瓟妗堛€� A

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1銆�

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2銆�

銆愭纰虹瓟妗堛€� D

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3銆�

銆愭纰虹瓟妗堛€� A

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鈶� 杓曡嚦涓害楂樿澹�;鈶″灏垮挨鍏跺灏垮澶�銆佸彛娓淬€佸翱姣旈噸涓嬮檷銆佸牽鎬у翱鍜岃泲鐧藉翱;鈶㈢櫦(f膩)浣滄€ц倢鐒″姏鎴栫櫛鐦�銆佽倢鐥�銆佹悙鎼︽垨鎵嬭冻楹绘湪鎰熺瓑銆傚嚒楂樿澹撹€呭悎骞朵笂杩�3闋�(xi脿ng)鑷ㄥ簥琛ㄧ従(xi脿n)锛屽苟鏈変綆閴€琛€鐧ャ€侀珮琛€閳夋€у牽涓瘨鑰岀劇鍏朵粬鍘熷洜鍙В閲嬬殑锛屾噳(y墨ng)鑰冩叜鍘熺櫦(f膩)鎬ч啗鍥洪叜澧炲鐧ャ€傝€屾湰鎮ｈ€呯櫦(f膩)鐥呭勾榻¤純杓�锛屾參鎬ц捣鐥�锛岄珮琛€澹撶梾鍙插崐骞�;鏈変箯鍔�銆佽倢鐥涚瓑绁炵稉(j墨ng)鑲岃倝鍔熻兘闅滅琛ㄧ従(xi脿n);鏈夊彛娓淬€佸翱铔嬬櫧澧炲绛夎厧鍔熻兘闅滅琛ㄧ従(xi脿n);琛€閴€3.1mmol/L锛屽潎鏀寔鍘熺櫦(f膩)鎬ч啗鍥洪叜澧炲鐧ョ殑瑷烘柗锛屾晠閬窤銆�

4銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 姝ら鑰冩叜鏄韩(k霉)娆ｇ稖鍚堝緛锛屽韩(k霉)娆ｇ稖鍚堝緛鐥呭洜瑷烘柗 灏�(du矛)娌荤檪鏂规鐨勭⒑绔嬫槸闂�(gu膩n)閸�锛屾柟娉�:鈶犲ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)锛屽韩(k霉)娆ｇ梾鏈嶈棩绗簩鏃�24灏忔檪(sh铆)灏縐FC鍦�80%鎮ｈ€呰鎶戝埗鍒板皪(du矛)鐓ф棩50%浠ヤ笅锛岃€岃厧涓婅吅鑵槫鍙婄暟浣岮CTH缍滃悎寰佸ぇ閮戒笉琚姂鍒�锛岄亷澶滃ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)鎰忕京鐩镐技;鈶¤ACTH姘村钩鍦ㄨ厧涓婅吅鑵槫鏅�(sh铆)闄嶄綆锛屽韩(k霉)娆ｇ梾鏅�(sh铆)鍗囬珮锛岀暟浣岮CTH缍滃悎寰佹檪(sh铆)鏇撮珮;鈶RH鑸堝ギ瑭﹂(y脿n)鍙婇潨鑴堝皫(d菐o)绠″垎娈靛彇琛€娓�(c猫)瀹欰CTH鍦ㄨê鏂锋湁鍥伴洠鐨勭梾渚嬫湁骞姪;鈶RI銆丆T銆丅瓒呰伈浠ュ強鏍哥礌妯�(bi膩o)瑷樼殑濂ф洸鑲介’鍍忕瓑褰卞儚瀛�(xu茅)妾㈡煡灏�(du矛)鐥呭洜閼掑垾瑷烘柗鍜岃叓鐦ゅ畾浣嶆槸蹇呬笉鍙皯鐨勶紝涓嶈珫鍨傞珨鑵虹槫銆佽厧涓婅吅鑵槫鎴栫暟浣岮CTH鍒嗘硨鑵槫銆�

5銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 闂�(gu膩n)浜嶤ushing缍滃悎寰佸京(f霉)鐧�(f膩)锛岃嚚搴婁笂缍�(j墨ng)甯歌(gu墨)娌荤檪寰�(f霉)鐧�(f膩)鑰呭彲鐢ㄩ樆婊厧涓婅吅鐨唱(zh矛)婵€绱犲悎鎴愮殑钘ョ墿銆傞叜搴峰攽鍙娇鐨唱(zh矛)閱囬鍥洪唶鐢�(ch菐n)鐢熼噺娓涘皯銆傚韩(k霉)娆�(Cushing)缍滃悎寰佸緢灏戣嚜琛岀珐瑙ｇ殑锛屾晠鎳�(y墨ng)绌嶆サ閲囧彇缍滃悎娌荤檪鎺柦锛屾晠杓曚腑搴︽偅鑰呴厡鎯呴噰鐢ㄦ墜琛�(sh霉)銆佹斁鐧傚拰钘ョ墿娌荤檪锛屼互鎸佺簩(x霉)鎺у埗楂樼毊璩�(zh矛)琛€鐧ュ彲浣挎偅鑰呯嵅寰楁寔绾�(x霉)鐨勭珐瑙ｃ€�

甯哥敤鐨勬姂鍒剁殑鑵庝笂鑵洪鍥洪唶婵€绱犲悎鎴愮殑钘ョ墿鏈夌背濡ュ潶銆侀叜搴峰攽銆佽硤鍚￠叜銆佹皑榄背鐗�銆�

鏁呮湰椤岄伕C銆�

6銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 涓嶅悓鐥呭洜鐨勫韩(k霉)娆ｇ稖鍚堝緛鏈夊吀鍨嬬殑鐧ョ媭楂斿緛锛岀毊璩�(zh矛)閱囧垎娉屽澶�锛屽け鍘绘櫇澶滅瘈(ji茅)寰嬶紝涓斾笉鑳借灏忓姂閲忓湴濉炵背鏉炬姂鍒�锛屾墍浠ラ伕D銆�

7銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 搴�(k霉)娆ｇ稖鍚堝緛鍙堢ū鐨唱(zh矛)閱囧澶氱櫏鎴栨煰鑸堢稖鍚堝緛銆�1912骞�锛岀敱HarveyCushing棣栧厛鍫�(b脿o)閬�銆傛湰寰佹槸鐢卞绋梾鍥犲紩璧风殑浠ラ珮鐨唱(zh矛)閱囪鐧ョ偤鐗瑰緛鐨勮嚚搴婄稖鍚堝緛锛屼富瑕佽〃鐝�(xi脿n)鐐烘豢鏈堣噳銆佸琛€璩�(zh矛)澶栬矊銆佸悜蹇冩€ц偉鑳�銆佺棨鐦�銆佺传绱�銆侀珮琛€澹�銆佺辜鐧�(f膩)鎬х硸灏跨梾鍜岄璩�(zh矛)鐤忔澗绛夈€�

8銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 姝ｅ父鎴愪汉鐨勮厧涓婅吅閲�4-6g銆�

9銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 鎮ｈ€呴櫍鐧�(f膩)鎬ч珮琛€澹擄紝鐧�(f膩)浣滄檪(sh铆)琛€澹撻珮閬�(d谩)210/110mmHg锛屽钩鏅�(sh铆)琛€澹撲笉楂橈紝鐧�(f膩)浣滄檪(sh铆)浼撮牠鐥�銆侀潰鑹茶捈鐧�銆佸喎姹�銆傛噳(y墨ng)鑰冩叜鍡滈壔绱�(x矛)鑳炵槫锛岄櫍鐧�(f膩)鎬ч珮琛€澹撶偤鍏剁壒寰佹€ц〃鐝�(xi脿n)銆傚棞閴荤窗(x矛)鑳炵槫鍙噵鏀惧ぇ閲�?j墨)缈扮捄褰辫姮類箣R搴婄櫏鐙€锛屽洜姝ゆ渶鏈夊姪浜庤ê鏂风殑妾㈡煡鏄銆佸翱鍏掕尪閰氳兒鍙婁唬璎濈敘(ch菐n)鐗╅鑽夊熀鏉忎粊閰稿惈閲忓楂樸€�

10銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鎮ｈ€呴櫍鐧�(f膩)鎬ч珮琛€澹�锛岀櫦(f膩)浣滄檪(sh铆)琛€澹撻珮閬�(d谩)180锝�210/110锝�130mmHg锛屽钩鏅�(sh铆)琛€澹撲笉楂�锛岀櫦(f膩)浣滄檪(sh铆)浼撮牠鐥涖€侀潰鑹茶捈鐧�銆佸喎姹椼€傛噳(y墨ng)鑰冩叜鍡滈壔绱�(x矛)鑳炵槫锛岄櫍鐧�(f膩)鎬ч珮琛€澹撶偤鍏剁壒寰佹€ц〃鐝�(xi脿n)銆�

11銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 鎮ｈ€呯毊鑶氶粡鑶滆壊绱犲姞娣辨矇钁�锛岃€冩叜鐐哄師鐧�(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧�锛屾噳(y墨ng)绲傝韩绲︿簣鑵庝笂鑵虹毊璩�(zh矛)婵€绱犳浛浠ｆ不鐧�锛屽叾绯栫毊璩�(zh矛)婵€绱犵殑鏇夸唬娌荤檪棣栭伕姘寲鍙殑鏉�锛岀瓟妗堢偤A銆�

12銆�

銆愭纰虹瓟妗堛€� E

銆愮瓟妗堣В鏋愩€� 鑵庝笂鑵虹毊璩�(zh矛)鐞冪媭甯跺垎娉岄啗鍥洪叜锛屾潫鐙€甯跺垎娉岀毊璩�(zh矛)閱�锛岀恫(w菐ng)鐙€甯跺垎娉岀毊璩�(zh矛)閱�+鎬ф縺绱狅紝鍥犳鑵庝笂鑵虹毊璩�(zh矛)鍔熻兘娓涢€€鏅�(sh铆)锛屽彲灏�(d菐o)鑷撮€欎簺婵€绱犲垎娉屾笡灏戯紝鍙嶉鎬CTH澧炲姞锛屽緸鑰屽紩璧蜂竴绯诲垪鑷ㄥ簥琛ㄧ従(xi脿n):ACTH澧炲姞→淇冮粦绱犲鍔�→鍏ㄨ韩鐨啔鑹茬礌娌夎憲(璁婇粦銆�锛屾鐐哄吀鍨嬮珨寰�;閱涘浐閰�↓→淇濋垑淇濇按鎺掗墍↓→浣庤閳夐珮琛€閴€銆佽瀹归噺娓涘皯→浣庤澹�銆佺洿绔嬫€ф殘鍘�;鐨唱(zh矛)閱�↓→浣庤绯�;鎬ф縺绱�↓→鍏�(n猫i)鍒嗘硨澶辫(di脿o)銆傛牴鎿�(j霉)閫欎簺鐗归粸(di菐n)锛屾湰渚嬫噳(y墨ng)瑷烘柗鐐哄師鐧�(f膩)鎬ф參鎬ц厧涓婅吅鐨唱(zh矛)鍔熻兘娓涢€€鐧�銆�

13銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 楂樿澹撲即鍤�(y谩n)閲嶉墍缂轰箯鎳�(y墨ng)鑰冩叜鍘熺櫦(f膩)鎬ч啗鍥洪叜澧炲鐧ョ殑鍙兘銆�

涓夈€丄3/A4

1銆�

銆愭纰虹瓟妗堛€� C

銆愮瓟妗堣В鏋愩€� 鎮ｈ€呭悜蹇冩€ц偉鑳�銆佺毊鑶氱传绱�銆佺毊鑶氳杽銆佽澹撳楂�銆侀枆缍�(j墨ng)锛岀偤鍏稿瀷搴�(k霉)娆ｇ稖鍚堝緛鐨勮〃鐝�(xi脿n)锛岀偤鏄庣⒑瑷烘柗锛屾噳(y墨ng)棣栭伕灏忓姂閲忓湴濉炵背鏉炬姂鍒惰│椹�(y脿n)锛岀瓟妗堢偤C銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 鏈緥瑷烘柗鐐哄韩(k霉)娆ｇ稖鍚堝緛锛孋T鐧�(f膩)鐝�(xi脿n)宸﹁偤鍗犱綅鎬х梾璁婏紝鐢ㄤ竴鍏冭珫瑙ｉ噵锛屽緢鍙兘鐐虹暟浣岮CTH缍滃悎寰侊紝鑰屼笉瑷烘柗鐐鸿偤閮ㄨ叓鐦�锛岀瓟妗堢偤B銆�

銆愭纰虹瓟妗堛€� A

銆愮瓟妗堣В鏋愩€� 鍏堝畾鎬цê鏂峰韩(k霉)娆ｇ稖鍚堝緛锛屽啀灏嬫壘?gu墨)鐓ㄨ鞍C鍚堝緛鐨勫畾浣嶈瓑鎿�(j霉)銆�

2銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 灏忓姂閲忓湴濉炵背鏉炬姂鍒惰│椹�(y脿n)鎴栭亷澶滃湴濉炵背鏉炬姂鍒惰│椹�(y脿n)鏅�(sh铆)澧為珮鐨勫翱鎴栬鐨唱(zh矛)閱囨按骞充笉琚姂鍒舵槸搴�(k霉)娆ｇ稖鍚堝緛蹇呴渶鐨勭⒑瑷鸿│椹�(y脿n)銆�

銆愭纰虹瓟妗堛€� D

銆愮瓟妗堣В鏋愩€� 灏忓姂閲忓湴濉炵背鏉炬姂鍒惰│椹�(y脿n)鎴栭亷澶滃湴濉炵背鏉炬姂鍒惰│椹�(y脿n)澧為珮鐨勭毊璩�(zh矛)閱囦笉琚姂鍒舵槸搴�(k霉)娆ｇ稖鍚堝緛蹇呴爤鐨勭⒑瑷鸿│椹�(y脿n)銆�

姝ら宸茬稉(j墨ng)鍛婄煡Cushing缍滃悎寰佸悗锛岀偤閫�(j矛n)涓€姝ョ⒑瀹氭槸鍚︾偤Cushing鐥�锛屽ぇ鍔戦噺鍦板绫虫澗鎶戝埗瑭﹂(y脿n)鏄梾鍥犺ê鏂�锛岃€冩叜閬窪鏇村悎閬�銆�

銆愭纰虹瓟妗堛€� B

銆愮瓟妗堣В鏋愩€� 灏�(du矛)浜庡瀭楂旂槫闄や簡鍨傞珨鐦や腑鐨勫偓涔崇礌鐦ら鍏堥噰鐢ㄨ棩鐗╂不鐧傚锛屽叾浠栧潎鎳�(y墨ng)鏃╂湡鎵嬭(sh霉)娌荤檪锛屽皪(du矛)浜庨瀺鍏�(n猫i)鑵槫涓€鑸噰鍙栫稉(j墨ng)铦剁珖鍨傞珨鐦ゅ垏闄よ(sh霉)锛屾斁灏勬不鐧傜敤浜庢墜琛�(sh霉)鍒囬櫎涓嶅竟搴曟垨鑰呭京(f霉)鐧�(f膩)鎴栬€呰綁(zhu菐n)绉荤檶鐨勭梾渚�銆�

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